GERALD L KNOUF MD PA NPI 1831326289

NPI Information

NPI: 1831326289
Provider Name: GERALD L KNOUF MD PA
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
190 W BURNSIDE AVE
STE C
CHUBBUCK, ID
ZIP 83202
Phone: (208) 023-8040
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GERALD L KNOUF MD PA is a health service clinic center in Chubbuck, ID. GERALD L KNOUF MD PA NPI is 1831326289. The provider is registered as an organization entity type.

The provider's business location address is:

190 W BURNSIDE AVE
STE C
CHUBBUCK, ID
ZIP 83202-411
Phone: (208) 023-8040
Fax: (208) 238-0401

The provider's authorized official is Gerald L Knouf .
The authorized official title is Owner and has the following contact phone number (208) 238-0400.

The enumeration date for this NPI number is 6/12/2009 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11043901	OTHER	IDAHO	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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